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22D-075 • .e tacement Zifilintioiv Propogal Page No. ! of / Pages �� Main Office: ton, MA: 7 Devens Street • P.O. Box 429 THE JUBB CO., INC. d.b.a. Northampton, 'Greenfield, MA 01302 (413) 584 -3716 • (413) 772 -6217 LARRY JUBB'S Brattleboro, VT & Keene, NH 18 North Hatfield Road IMPROVE- A- HOMETM 1- 888 - 639 -JUBB Hatfield, MA 01038 E mail: JubbCompanyinc@aol.com PROPOSAL SUBMITTED TO PHONE � � - � �� � DATE C / 0 i ti 1, -,r- 5NE.7" Sf� p /�2 'CCCS� l l C✓ STREET JOB NAME 1 l Sip F /odee4vc '',:>/o CITY, STATE AND ZIP I � a ����� ��� � JOB LOCATION /1...�i,/C S I� l 0-1 TENTATIVE JOB SCHEDULE (Weather Permitting) ^c _ 6f7 MA Registration 100001 Approximately .-- 7 weeks from date of signed proposal received by Jubb Co., Inc. MA Cons. Sup. Lic. 055333 We hereby submit specifications and estimates for: Supply & Install Mastic Ram 2Uutvrjazd Vinyl Replacement Windows Q .....tve \ > • 1/2 Screens (double hung only). • Interlock meeting rail. Aw • Locking Screens (double hung only). • Welded sash & frame. L • \, • Tilt -in Sashes (double hung only). • Five degree sloped sill. 4 • ()• Non - conductive intercept glass system. • Seven - eights thermo glass. pkQ • Continuous Balances (double hung only). • Insulated padded frame. It i i • Sun Shield Vinyl Compound (Mastic exclusive). • Energy Star approved. • • • Twin locks on double hung units 32" or wider. • Virgin vinyl. • Twenty year manufacture guarantee on glass seal failure. .. Foev. Fdle44 /' 5r ,e FieArAE15 • Lifetime transferable manufacture gu tee on vinyl window frame. • Labor guarantee as required by CT MA H, VT contractor regulations. Color: X Linen White ❑ Almond* (*extra charges apply for this colors) TOTAL UNITS REPLACED: 20 D cwble tAtAv ❑ Grids IV O (Note: Grids are beveled) Low "E" Glass3)F5 WI ArgonJ'f V Insulation (into weight pocketsVF.5 CI Storm Window Removal 1 Aluminum Clad Exterior Castings (❑ Full 4 Partial) S i?_ - n,:1,Ly (e;k;;Uer p.lt,,; f- i:..F., :F oi-E' • OTHER/NOTE Stem wrw 644 sre_P ,w ) • • t. : -_--,,, /ix - tV owviii even A, O/ / 1 .1J aclteaSe d ,, Board of Building Regulations and Standards - One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Construction Supervisor License License CS: 55333 Restriction: 00 Expiration: 5/21/2010 Tr# 25298 LAWRENCE A JUBB JR -- ...- - - -• —. _. - - -- ---- -_..._ ._.._— ..... ...... _- .._ POBOX 429 --- - -- —.-.--..-------.-----._-._....-- GREENFIELD, MA 01302 — — ---- - - - - -- Update Address and return card. Mark reason for change. ,1 cs 50M- 07/07- PC0490 Address ID Renewal f . Lust Card ‘9.lite *E One Ashburton Place - Room 1301 :7/d Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 100001 Type: Private Corporation Expiration: 6/8/2010 Tr# 267161 The Jubb Company, Inc. Larry Jubb P. 0. Box 429 -- - - - " -- Greenfield, MA 01302 ---- - - - - - -- Update Address and return card. Mark reason for change. 1 A 60M•07/07•PC8490 L0 Address n Renewal C: Employment 11 Lost Card • A The Commonwealth of Massachusetts Department of Industrial Accidents t - =_ 15ih.� _ ' Office of Investigations I. = 1 i - 600 Washington Street Boston, MA 02111 .'.,:. s. " www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders /Contractors /Electricians /Plumbers Applicant Information •�--� Please Print Le. ibly Name (Business/ Organization /Individual): h� .J t, no. 1 4 ._ . i Address: Po. X , 4-,/_9 City /State /Zip: ''e -e-vA et ci M A O t 3 c)2 Phone #: 7 i 2- - (0 2 r "1 A ou an employer? Check the appropriate box: Type of project (required): 1. I am a employer with 3 4. ❑ I am a general contractor and I 6. ❑ New construction employees (full and/or part- time).* have hired the sub - contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. ❑ Remodeling ship and have no employees These sub - contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3. ❑ I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself [No workers' comp. c. 152, § 1(4), and we have no 12.0 of repairs insurance required.] t employees. [No workers' 13 .['] O ner w ;c;,+) rapt comp. insurance required.] *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 1 Contractors that check this box must attached an additional sheet showing the name of the sub - contractors and their workers' comp. policy information. I am an employer that is providing workers' compensation insurance for ny employees. Below is the policy and job site information. n Insurance Company Name: Pe-e-t.- e S S _ mot„ s ,r i .tom .y‘ Policy # or Self -ins. Lic. #: i. L 8 (a (4 4-9 4-9 Expiration Date: 05 /0 3 / i U Job Site Address: . 5 ‘ , 1 0 r - fez- City /State /Zip: —t-- I v v [ -e . _ , MA I DO o Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and /or one -year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pair nd enalties of perjury that the information: provided above is true and correct. Signature: Date: ' 1 i ° / Phone #: I � J — 7 7'2- --G 2-4 — I Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: -y^ Not Applicable ❑ Name of License Holder : ti+ r [ r . J l t �J h a �- ; �1 �° 5 . 0 6 ■ License Number Po tax L o � / ) o i 0 Address Expiration Date �v e;e,�-� e► d , AA A o r 3 02— Signature � Telephone 9. Reaistered Home Improvement Contractor. Not Applicable ❑ fie.- h Coo. I Q000 1 Company Name Registration Number PO ot, /0 /9-o I 0 A ddress Expiration Date A p r` �. - � /V� A 0 1 3 C ? "� Telephoned 7 24 , SECTION 10- WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L c. 152, § 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit Signed Affidavit Attached Yes " No ❑ 11. - Home Owner Exemption The current exemption for "homeowners" was extended to include Owner - occupied Dwellings of one (1) or two(2) families and to allow such homeowner to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. CMR 780, Sixth Edition Section 108.3.5.1. Definition of Homeowner: Person (s) who own a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/ or farm structures. A person who constructs more than one home in a two -year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official, on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time, during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152 (Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death) of the Massachusetts General Laws Annotated, you may be liable for person(s) you hire to perform work for you under this permit The undersigned "homeowner" certifies and assumes responsibility for compliance with the State Building Code, City of Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature oe- SECTION 5- DESCRIPTION OF PROPOSED WQRK (check all applicable) New House Q Addition ❑ Replacement Vlpddows Alteration(s) ❑ Roofing Q Or Doors [[�� Accessory Bldg. ❑ Demolition ❑ New Signs [o] Decks [p Siding [O] Other [CO Brief Description of Proposed --- .L Work: - - i O i , rapid I`4 LA-) t t,, 9 bedroom Yes No t J Alteration of existing Ad ' new bm Yes No 9 Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll - Sheet 6a. If New house and or addition to existing housing, complete the following: a. Use of building : One Family Two Family Other b. Number of rooms in each family unit Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No . 1. Septic Tank City Sewer Private well City water Supply SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT l , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner D I, LA,L2 .-" e-iA Ail- A . J t.L b b y , as Owner /Authorized Agent hereby declare that the statements andinfomiation on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. �c r- em,e_e_ A. J, Jam, Print Name l Signature of Owner /Agent e f t • Department use only City of Northampton Status of Permit Building Department Curb Cut/Driveway Permit 212 Main Street Sewer /Septic Availability CC Room 100 WaterJWell Availability 11 Northampton, MA 01060 Two Sets of Structural Plans phone 413 -587 -1240 Fax 413 -587 -1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELUNG SECTION 1 - SITE INFORMATION 1.1 Property Address: This section to be completed by office to (p 17 o (2 Map Lot Unit - 1- - 1.0 Zone Overlay District Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: M/ t S� t i ( �.�,rV.. N Print) Current Mailing Address: - .b.g — 7 4 Telephone Signature 2.2 Authorized Anent: La i— e-vt_e e..- A . .. ITV A--...s r'v c),.:c 4-2-9 (. 12_ -6eid. A4 / Name (Print) a __y -.0 r / / Current Mailing Address: ' 0 302_ Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 +2 +3+4+5) S 5, S ' S . Check Number � p 6 This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner/Inspector of Buildings Date dpi � BP- 2010 -0295 . `� �a 3� � GIS #: COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BUILDING PERMIT Permit # BP- 2010 -0295 Project # JS- 2010 - 000389 Est. Cost: $5985.00 Fee: $35.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: THE JUBB CO INC 055333 Lot Size(sq. ft.): 21780.00 Owner: SHARP JANET & WILLIAM HILL SHARP Zoning: URA(100) / /WSP Applicant: THE JUBB CO INC AT: 56 FLORENCE RD Applicant Address: Phone: Insurance: P O Box 429 (413) 772 -6217 Workers Compensation GREENFIELDMA01302 ISSUED ON:9/17/2009 0:00:00 TO PERFORM THE FOLLOWING WORK: INSTALL REPLACEMENT WINDOWS POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House # Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace /Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 9/17/2009 0:00:00 $35.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo ilkeptatement tilinbolv propo5a1 Page No. ! of / Pages Main Office: 7 Devens Street • P.O. Box 429 THE JUBB CO., INC. d.b.a. Northampton, MA: 'Greenfield, MA 01302 (413) 584 -3716 (413) 772 -6217 LARRY JUBB'S Brattleboro, VT & Keene, NH 18 North Hatfield Road IMPROVEmA- HOMETM 1 -888- 639 -JUBB Hatfield, MA 01038 Email: JubbCompanyinc@aol.com PROPOSAL SUBMITTED TO PHONE DATE c� 0 i l (-T- j NF SI-64- ` .g � _ 9 ?7 � % ,/Y d / STREET JOB NAME 54 F /o,etwce 4) /i CITY, STATE AND ZIP ��� JOB LOCATION /� 3 S ni 01 TENTATIVE JOB SCHEDULE (Weather Permitting) MA Registration 100001 Approximately r°.+ -- 7 weeks from date of signed proposal received by Jubb Co., Inc. MA Cons. Sup. Lic. 055333 We hereby submit specifications and estimates for: Supply & Install Mastic Rayed 2U4tzjazd Vinyl Replacement Windows � �,, �` • 1/2 Screens (double hung only). • Interlock meeting rail. : A • Locking Screens (double hung only). • Welded sash & frame. L9 c)k • Tilt - in Sashes (double hung only). • Five degree sloped sill. 4 0• Non - conductive intercept glass system. • Seven - eights thermo glass. RCkk. • Continuous Balances (double hung only). • Insulated padded frame. 1 • Sun Shield Vinyl Compound (Mastic exclusive). • Energy Star approved. • Twin locks on double hung units 32" or wider. • Virgin vinyl. • Twenty year manufacture guarantee on glass seal failure. ' Fo,. r. FF Iiec{ M0 e_ FieAME9 • Lifetime transferable manufacture gu tee on vinyl window frame. • Labor guarantee as required by CT MA H, VT contractor regulations. Color: X Linen White ❑ Almond* ( *extra charges apply for this colors) TOTAL UNITS REPLACED: f?. D c le NAu,v " ID A Grids 1V y 0 (Note: Grids are beveled) Low "E" Glass3)1 ArgonyfY VInsulation (into weight pockets) '5 �` Storm Window Removals I Aluminum Clad Exterior Castings (❑ Full VI Partial) S iLi-3 nA.4:. (c wi,e^ 4 glut I - L;Jb / oLe OTHER /NOTE: S't -o,ewL wrw, r 4 ) cepci sreLP U: t N °Ow /f-R.0 #S 01 KS''r 6 i. ( 06O Fc„ f S c . ei,E2S .A4/.5 :v :/ t,t; : N aCW-C y% p /3//f1T e 2 s,.,,-,.v v ,fbvy rbu., uie f3rne ca:c.rb SERVICE FEE: $125.00 (includes permit and disposal of all job related refuse.) [service fee not included in total amount below, and will be billed separately.] CONTRACT SERVICE CHARGE: An interest charge of 2% per month (24% per annum) will be added to outstanding balances over 30 days, plus all costs, including reasonable attorneys fees, incurred in collecting any sums owed. 1 . ropo>�e ereby to furnish material and labor - complete in accordance with above specifications, for the sum o • J -( ' 1e7.4aall 7 /'+ /71 tied ` %JO dollars ($ e 3C ). Q Payment to be made as follows: p C 5 S ° 10 / �3 )5 Sib Q 1/3 DOWN PAYMENT UPON ACCEPTANCE Make checks payable to. The Jubb Co., Inc. (Our installers will coil ct y nal lll balance upon completion). All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifica- Authorized p /y� lions involving extra costs will be executed only upon written orders, and will become an extra Signature C (v`-C charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our Note: This pr osal y be workers are fully covered by Workmen's Compensation Insurance. withdrawn by us if n t accepted within THIRTY days. 2cteptance of Prop ogat- The above prices, specifications and /) conditions are satisfactory and are hereby accepted. You are authorized to do Signature � -- _ CLu e '� /(64-i., / the work as specified. Payment will be made as outlined above. ( j f () � C Date of Acceptance: � 1 ©� l Signature 2 WHITE - Remittance Copy YELLOW - Customer Copy PINK - Office Copy